The Acute Asthma Intensity Research Score (AAIRS) can be used to evaluate a pediatric patient with asthma. The authors are from Vanderbilt University.
Parameters:
(1) retraction of suprasternal sternocleidomastoid (SCM) muscles
(2) retraction of intercostal muscles
(3) retraction of subcostal muscles
(4) air entry
(5) wheezing
(6) SpO2 on room air in percent
(7) expiratory phase
Parameters |
Findings |
Points |
retraction of suprasternal and SCM muscles |
no |
0 |
|
yes |
2 |
retraction of intercostal muscles |
no |
0 |
|
yes |
2 |
retraction of subcostal muscles |
no |
0 |
|
yes |
2 |
air entry |
normal |
0 |
|
decreased at bases |
1 |
|
widespread decrease |
2 |
|
minimal or absent |
3 |
wheezing |
absent |
0 |
|
expiratory |
1 |
|
inspiratory and expiratory |
2 |
|
audible without stethoscope |
3 |
SpO2 on room air |
>= 95% |
0 |
|
92 to 94% |
1 |
|
< 92% |
2 |
expiratory phase |
normal |
0 |
|
prolonged |
1 |
|
severely prolonged |
2 |
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 16
• The higher the score the more severe the asthma.
Specialty: Pulmonology, Pedatrics, Emergency Medicine